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General NPI Number Information
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NPI Number | 1124398417
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Entity Type | Organization
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Legal Business Name | LOUIS M. MAKAROWSKI, PH.D., P.A.
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 5120 BAYOU BLVD SUITE 6
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City | PENSACOLA
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State | FL
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Zip | 32503-2193
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Country | US
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Telephone | 850-477-7181
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Fax | 850-477-7197
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Provider Business Mailing Address
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Address Line | 5120 BAYOU BLVD SUITE 6
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City | PENSACOLA
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State | FL
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Zip | 32503-2193
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Country | US
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Telephone | 850-477-7181
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Fax | 850-477-7197
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. MARILYN IRENE MAKAROWSKI
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Credential |
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Telephone | 850-477-7181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY2429
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License Number State | FL
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